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V4.0 1999/2000 VEMD User Manual
PATIENT MANAGEMENT DATA
AMBULANCE CASE NUMBER
Definition: Unique identifier to each ambulance transport occasion.
Up to six character alpha/numeric field.
Mandatory if Arrival Transport Mode is 1, 2, 3, 4 or 10, indicating arrival by ambulance, other than hospital contracted private ambulance car.
ARRIVAL DATE
Definition:Date patient first registered or triaged (which ever comes first), by clerical officer, triage nurse or doctor in the Emergency Department.
Eight character numeric field.
A valid date (DDMMCCYY).
ARRIVAL TIME
Definition:Time patient first registered or triaged (which ever comes first), by clerical officer, triage nurse or doctor in the Emergency Department.
Four character numeric field.
A valid time in 24-hour format. Range: 0001-2359. [Following international convention midnight is either 2359 of preceding date or 0001 of following date (that is, 0000 and 2400 will not be accepted).]
TRIAGE DATE
Definition:Date patient first seen by Triage nurse/doctor.
Eight character numeric field.
A valid date (DDMMCCYY).
TRIAGE TIME
Definition:Time patient first seen by Triage nurse/doctor.
Four character numeric field.
A valid time in 24-hour format. Range: 0001-2359. [Following international convention midnight is either 2359 of preceding date or 0001 of following date (that is, 0000 and 2400 will not be accepted).]
If local work practices dictate that the Triage process occurs immediately upon arrival, then the Triage Date and time will equal Arrival Date and time.
TRIAGE CATEGORY
Definition: Classification according to urgency of need for medical and nursing care, using National Triage Scale (Australasian College for Emergency Medicine).
The Triage Category is allocated by an experienced registered nurse or medical practitioner. (National Health Data Dictionary, Version 8.0)
One character numeric field.
Treatment acuity within:
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1
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Resuscitation | Immediate - within 1 minute |
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2
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Emergency | Within 10 minutes |
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3
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Urgent | Within 30 minutes |
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4
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Semi urgent | Within 60 minutes |
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5
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Non urgent | Within 120 minutes |
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*6
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Dead on arrival |
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*Collected for VEMD purposes, is not included in the National Triage Scale.
Policies for collection of data - Guideline for changes in Triage Category during attendance
FIRST SEEN BY TREATING NURSE DATE
Definition: Date patient is first seen by Treating Nurse, includes date baseline observations are taken after triage.
Eight character numeric field.
Valid date (DDMMCCYY) or blank.
First Seen By Treating Nurse Date & Time must be completed if First Seen By Doctor Date & Time, is blank, except where Departure Status = 6 - Left before being seen by doctor or definitive service provider. In this instance the First Seen By Treating Nurse Date/Time and First Seen By Doctor Date/Time should be left blank.
Where a valid date has been entered in First Seen By Treating Nurse Date, a valid time must be entered in First Seen By Treating Nurse Time.
FIRST SEEN BY TREATING NURSE TIME
Definition: Time patient is first seen by Treating Nurse, includes time baseline observations are taken after triage.
Four character numeric field.
A valid time in 24-hour format or blank. Range: 0001-2359. [Following international convention midnight is either 2359 of preceding date or 0001 of following date (that is, 0000 and 2400 will not be accepted).]
First Seen By Treating Nurse Date & Time must be completed if First Seen By Doctor Date & Time is blank, except where Departure Status = 6 - Left before being seen by doctor or definitive service provider. In this instance the First Seen By Treating Nurse Date/Time and First Seen By Doctor Date/Time fields should be left blank.
Where a valid date has been entered in First Seen By Treating Nurse Date, a valid time must be entered in First Seen By Treating Nurse Time.
FIRST SEEN BY DOCTOR DATE
Definition: Date first medical officer assesses the patient.
Eight character numeric field.
Valid date (DDMMCCYY) or blank.
First Seen By Doctor Date & Time must be completed if First Seen By Treating Nurse Date & Time is blank, except where Departure Status = 6 - Left before being seen by doctor or definitive service provider. In this instance the First Seen By Doctor Date/Time and First Seen By Treating Nurse Date/Time should be left blank.
Where a valid date has been entered in First Seen By Doctor Date, a valid time must be entered in First Seen By Doctor Time.
FIRST SEEN BY DOCTOR TIME
Definition: Time first Medical Officer assesses patient.
Four character numeric field.
A valid time in 24-hour format or blank. Range: 0001-2359. [Following international convention midnight is either 2359 of preceding date or 0001 of following date (that is, 0000 and 2400 will not be accepted).]
First Seen By Doctor Date & Time must be completed if First Seen By Treating Nurse Date & Time is blank, except where Departure Status = 6 - Left before being seen by doctor or definitive service provider. In this instance First Seen By Doctor Date/Time and First Seen By Treating Nurse Date/Time fields should be left blank.
Where a valid date has been entered in First Seen By Doctor Date, a valid time must be entered in First Seen By Doctor Time.
PROCEDURES
Definition: Specific interventions/treatments performed in the Emergency Department.
Two character numeric field.
Up to 30 procedure codes will be accepted.